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ELENA ANN ROUMAYA M.D.
NPI 1962936096
Family Medicine in Haleyville, AL

Active since April 14, 2017PECOS EnrolledAccepts Medicare Assignment
42024 AL-195, HALEYVILLE, AL 35565(205) 486-5213 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 13, 2024, Aug 18, 2020, Apr 14, 2017 (3 updates tracked since 2017).

About Elena Ann Roumaya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELENA ANN ROUMAYA M.D. (NPI 1962936096) is an individual family medicine provider in Haleyville, Alabama, licensed in Alabama (48539) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Wayne State University School Of Medicine (2010).

NPPES Registry Identity

NPI1962936096
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameELENA ANN ROUMAYACredential: M.D.
Location Address42024 AL-195Haleyville, AL 35565
Mailing Address6544 Silvio StGarden City, MI 48135-1631 · (734) 674-0589
Phone(205) 486-5213
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2010
Enumeration DateApril 14, 2017
Last NPPES UpdateJune 13, 20243 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1962936096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in AL · 48539✔ Licensed in TN · 61637
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
42024 AL-195, Haleyville, AL 35565
Open in Google Maps ↗

Secondary Practice Location 1

Location 1625 19th St SBirmingham, AL 35233-1900 · Phone (256) 551-4631

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elena Ann Roumaya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1456778026
PECOS Enrollment IDI20240429001109
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

5

Medicare enrollment records show Elena Roumaya reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sycamore Lakeland LLC
Same address
Emergency Medicine
42024 AL-195
Haleyville, AL 35565
  • Reassigned Medicare billing, Alabama enrollment
  • 40 clinicians in this Medicare group
NPI 1184472789 (205) 486-5213
Hh Crestwood ER Physicians Group
66 mi
Emergency Medicine
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 31 clinicians in this Medicare group
NPI 1811842826 (256) 429-4000
Crestwood Hb Medical Services LLC
66 mi
Emergency Medicine
1 HOSPITAL DR SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 93 clinicians in this Medicare group
NPI 1548940497 (256) 429-4000
Emergency Medical Care Facilities PC
119 mi
Emergency Medicine
620 SKYLINE DR
Jackson, TN 38301
  • Reassigned Medicare billing, Tennessee enrollment
  • 146 clinicians in this Medicare group
NPI 1538345855 (731) 541-6574
Coffee County Physician Group PC
122 mi
Emergency Medicine
481 INTERSTATE DR
Manchester, TN 37355
  • Reassigned Medicare billing, Alabama enrollment
  • 16 clinicians in this Medicare group
NPI 1437164878 (931) 728-6354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SYCAMORE LAKELAND LLC
Emergency Medicine
42024 AL-195
HALEYVILLE, AL 35565
Winston County (205) 486-5213

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Roumaya's NPI number?

The NPI number for Elena Roumaya is 1962936096. It was assigned to this individual provider in the NPPES registry on April 14, 2017.

Where is Elena Roumaya located?

Elena Roumaya practices at 42024 Al-195, Haleyville, AL 35565. The listed phone number is (205) 486-5213.

What is Elena Roumaya's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Elena Roumaya enrolled in Medicare?

Yes. Elena Roumaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Elena Roumaya's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Roumaya reassigns Medicare benefits to 5 organizations: Sycamore Lakeland LLC (Haleyville, AL), Hh Crestwood ER Physicians Group (Huntsville, AL), Crestwood Hb Medical Services LLC (Huntsville, AL), Emergency Medical Care Facilities PC (Jackson, TN) and Coffee County Physician Group PC (Manchester, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elena Roumaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elena Roumaya accept?

Health plans from Blue Cross and Blue Shield of Alabama list Elena Roumaya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elena Roumaya was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.